Organization
SOUTHWEST ENDOCRINE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR J STRADER M.D. (ENDOCRINOLOGIST)
(915) 533-5486
Entity
Organization
Contact information
Practice address
1201 E SCHUSTER AVE, BLDG 7, EL PASO, TX 79902-4660
(915) 533-5486
(915) 533-9602
Mailing address
1201 E SCHUSTER AVE, BLDG 7, EL PASO, TX 79902-4660
(915) 533-5486
(915) 533-9602
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT1353
MEDICARE RAILROAD
—
05
—
Z00BA817
—
TX
Enumeration date
05/31/2005
Last updated
11/12/2007
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